RICHARD RUNSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032271

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

RUNSTROM

Suffix

Business Name

RICHARD RUNSTROM MD

Original Issue Date

08/31/1953

Effective Date

08/31/1953

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006